Fairfax-Falls Church Community Services Board

Fairfax County, Virginia



Emergency - 703-573-5679 Detox - 703-502-7000 (24/7)

703-383-8500 | TTY 711

8221 Willow Oaks Corporate Drive
Fairfax, Virginia 22031

Daryl Washington, Executive Director

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The Fairfax-Falls Church Community Services Board provides services for people of all ages who have mental illness, substance use disorders, and/or developmental disabilities. The CSB also provides early intervention services for infants and toddlers who have developmental delays.

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Need emergency help?

Call 911 if immediately life-threatening and ask for Crisis Intervention trained officer.

Emergency mental health services 24/7
703-573-5679   TTY 711

Fairfax Detoxification Center 24/7
TTY 703-322-9080

Or come directly to the Merrifield Center

Need information & services?

For other CSB services, call CSB Entry & Referral
703-383-8500   TTY 711
Mon. – Fri., 9 a.m. to 5 p.m.

Come directly to the Merrifield Center for a screening
Mon. – Fri., 9 a.m. to 5 p.m.
(Extended youth hours until 7 p.m. on Tues.)

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CSB News

Photo of attendees at REVIVE training

June 13, 2018
As the opioid epidemic remains a growing concern in Fairfax County and across the U.S., the Fairfax-Falls Church Community Services Board (CSB) has expanded their REVIVE (opioid reversal) training to include the Reston area. The one-hour, free course will be held at 10 a.m. on Friday, June 29, at the CSB’s Northwest Center in Reston. The course offers a chance for residents to acquire lifesaving tools against overdoses. Residents will learn to administer naloxone, what to do and not to do in an overdose emergency, how to administer the lifesaving medication and what to do afterward during REVIVE training. Attendees also learn about safety plans to help individuals prevent overdose in the event of a relapse. Free naloxone, the drug that reverses opioid overdoses, will be available to attendees who meet eligibility requirements. The CSB has been offering community trainings across Fairfax County since 2015 and, as the epidemic has grown, has expanded the number of trainings. So far, over 1,800 people have taken the REVIVE training. Initially, many of the attendees were people whose lives had been impacted by substance use disorders or the opioid epidemic in some way. But according to Miranda Gillespie, a substance abuse counselor at CSB’s A New Beginning program, the classes are now drawing many who do not have any connection to the crisis, they simply want to help. “We are seeing people who have CPR training and who want to be prepared to help others. Like CPR, our course is one that can be used by anyone who encounters a person who is overdosing. We’ve trained parole officers, people who work in schools and the courts, and mothers and fathers from across the county. It’s very encouraging to see.” Gillespie adds that REVIVE classes are offered at A New Beginning in Chantilly once a month on Sundays at 3 p.m. and all are welcome. [See the full list of REVIVE classes.] The trainings started as our CSB partnered with the Virginia Department of Behavioral Health and Developmental Services and the Chris Atwood Foundation. Front of card. CSB has wallet-sized information cards designed for quick, easy access to CSB resources and phone numbers. Cards can be distributed to people at risk of overdose, and to all community members, upon request. Email your request to the CSB Communications Office or call 703-324-7006 (TTY 711). Residents can get assistance finding treatment options by calling CSB Entry & Referral at 703-383-8500 Monday through Friday from 9 a.m. to 5 p.m., or the Fairfax Detoxification Center at 703-502-7000, available 24/7. If you believe you or someone is overdosing, call 911 immediately.  

Photo of woman typing on smart phone

June 7, 2018
The number of people seeking help from Fairfax-Falls Church Community Services Board (CSB) partner PRS CrisisLink is rising, most notably among women help-seekers, according to recent data. PRS CrisisLink data, from May 2017-2018, shows that the number of women seeking mental health support rose 66% in the past year, from 1,838 to 3,060. The number of calls that were serious enough to require an emergency response more than tripled over the past year, from 82 to 252. Additionally, 22% of females spoken to by Crisis Link volunteers were actively suicidal and 19% of males were suicidal. The number of men and women who were at high risk for suicide increased over the past year. Additionally, of the women callers, 36% were at high risk for a suicide behavior compared to males at 29%. Last year 664 women were considered high risk, this year 1,181. Of male callers, 544 last year were considered high risk and this year that figure rose to 730. The U.S. Centers for Disease Control (CDC), reports that over 10,2000 women take their lives each year (2017) and that 28 women die by suicide every day in the U.S. Most commonly, callers to PRS CrisisLink focused on feelings of anxiety, loneliness, concern about mental illness, and life stress. Other topics included anger, depression, and relationships. Suicidal thoughts can affect anyone regardless of age, gender or background, or income; it is the third leading cause of death among young people in the Commonwealth of Virginia. If you or someone you care about may be at risk of suicide, don't hesitate to reach out for help right away. Remember: suicide is preventable. Resources available 24/7 include: Community Services Board Emergency Services at 703-573-5679. Text "CONNECT" to 855-11 to contact PRS CrisisLink. Call PRS CrisisLink at 703-527-4077. Other ways you can help prevent suicide: Learn the signs of suicide. Find out more about CSB's Mental Health First Aid courses and sign up for a Youth, Adult, or Spanish language class. Volunteer for the PRS CrisisLink hotline. Sign up for a summer training course: June 26 & 28 from 6:30 to 9:30 p.m., July 7 & 8 (Applied Suicide Intervention Skills Training) from 9 a.m. to 5 p.m., July 10 & 12 from 6:30 to 9:30 p.m., or online July 19 from 6:30 to 9:30 p.m. Contact PRS' Christina Holman, 703-625-8568. Attend the next SPAN meeting on Monday, June 25, 7 p.m., CSB’s Merrifield Center. The Suicide Prevention Alliance of Northern Virginia (SPAN) is a regional coalition of the Alexandria, Arlington, Fairfax-Falls Church, Loudoun and Prince William Community Services Boards (CSBs) and other groups in Northern Virginia, that work together to raise awareness and share resources to prevent suicide. Join the Out of the Darkness Community Walk planning efforts with the National Capital Area Chapter of the American Foundation for Suicide Prevention; contact Ellen Shannon, or Karrie Boswell to learn more.

2018 National Nurses Week logo

May 4, 2018
Rosaline Nankam, RN, BSN, Fairfax Detox When someone she recognizes returns to the Fairfax Detoxification Center, CSB nurse Rosaline Nankam doesn’t judge. Instead she smiles encouragingly and says, “Welcome back! We’re glad you’re here!” In her 14 years working at Detox, Nankam has seen people come back again and again, year after year, struggling to overcome their opioid dependence and the terrible toll it takes on their bodies and minds. Over 80 percent of the individuals treated at Detox are homeless; many have lost contact with their loved ones. Nankam is determined not to give up on them. Nankam says one of her most memorable patients was a man who came to Detox repeatedly for over 10 years. His need for heroin was so acute that he was injecting it directly into an open wound. One day something clicked, and he agreed to enter a CSB residential treatment program. He brought others to Detox for help and stayed drug-free for the rest of his life. “Detox is the entry point for people with many complex issues,” Nankam explains. “We have to listen closely, to know who we’re dealing with. Clients we serve have many other comorbidities and do not take care of themselves out there in the community. Besides their substance abuse issues, we also deal with medical issues such as diabetes, hypertension and other issues. These need to be addressed at the same time as the substance abuse issues, to increase their chances of remaining sober.” Wanda Orr, MSN, Fairfax Detox Wanda Orr, who also works at Detox, says that nurses there teach every opioid patient how to recognize the signs of overdose, what to do, what not to do, and how to administer Narcan, the life-saving medication that reverses opioid overdose effects. Orr also gives public presentations to educate the community about opioid abuse and how to get help. Nurses throughout the CSB – at Detox, residential treatment programs, outpatient services, clinics and at the jail – provide medication assisted treatment and associated case management for individuals who have opioid dependence. CSB Nursing Director Louella Meachem explains that medications such as Suboxone and Vivitrol reduce the craving for the opioid, so that the individual can remain opioid-free and focus on other aspects of their recovery. Jennifer Hansbrough, a nurse with CSB’s Addiction Medicine clinic at the Merrifield Center, provides medical assessments and triage, case management, prescription monitoring, and follow-up treatment referrals for approximately 80 - 90 individuals receiving medication assisted treatment on an outpatient basis. Hansbrough has spent the past six years working with people with substance use disorders, a population she describes as having been historically underserved and stigmatized. “I love what I do,” explains Hansbrough. “These are remarkable, resilient people in the midst of surviving an epidemic. To be the person that someone reaches out to, after they have lost so much, experienced so much trauma… it’s a huge thing. They keep trying, keep coming back. It’s a life and death struggle.” Hansbrough continues: “The biggest thing we want people to know is that we’re here, judgment free. Whatever stigma there is, it ends at the door.” Nankam, Orr, Meachem, and Hansbrough, with nurse colleagues throughout the CSB and Fairfax County, were honored by the Board of Supervisors on April 10, with a proclamation naming the week of May 6 – 12 as Nurses’ Week in Fairfax County. This year’s proclamation emphasizes the critical role of nurses in combatting the opioid epidemic in our community. If you or someone you know is using opioids and needs help, contact the CSB at 703-383-8500. In an emergency 24/7, contact Fairfax Detox at 703-502-7000 or CSB Emergency Services at 703-573-5679. Call 911 in a life-threatening emergency. Find out about CSB careers for nursing professionals.  

Screen capture of CSB video

May 3, 2018
Learn about some of the CSB’s programs, meet staff and consider a career with us.

Photo of Great Falls park

May 1, 2018
“Stars can’t shine without darkness.” A 32-year-old Fairfax County resident, Zoey*, experienced a dark journey through mental health challenges and unemployment for many years, but she is now “shining” as she spends her days working with a team of medical professionals who collect and analyze specimens to help guide paths to treatment. Zoey’s job requires specialized training in biology, strong attention to details and a steady hand, and she couldn’t be happier or more grateful. Interested in science and lab work since childhood, she is overjoyed that she’s working in her dream job that she plans to continue for the rest of her career. “Helping people to understand their medical prognosis and next steps in their journey to healthy, successful outcomes is an awesome place to be, but without the CSB’s help and support, this chapter in my journey never would have happened,” according to Zoey. To raise awareness during May as Mental Health Awareness Month, Zoey shares her personal experiences to highlight the importance of education, supportive employment and reaching out for help. Zoey’s Story At age 11, Zoey felt she did not want to live. Throughout her adolescence, she was consumed by dark and negative thoughts. This was her “every day” and she recalls now that she never knew there was any other way of thinking. In college, she experienced mental health challenges, hospitalizations and sought help from a therapist. For a while, Zoey coped. She married, worked a professional job, gave birth to a child and lived in a beautiful home. To many, it may have seemed Zoey lived an idyllic life, but her depression and illness continued. Her depression worsened and became a growing battle, one she took seriously after divorcing and losing her job. She knew her daughter needed her. At age 28, she felt she was spiraling out of control. Through a friend who had experienced substance use challenges, she learned about the Fairfax-Falls Church Community Services Board’s (CSB) mental health support. Alone, with nowhere to turn, and experiencing suicidal thoughts that wouldn't subside, Zoey drove to CSB's Merrifield 24-hour Emergency Crisis Response Center late one night where she shared her symptoms with clinicians. “It was the best move I’ve ever made,” she recalls. “After my assessment, the therapist told me that the CSB’s Crisis Care program had an opening and it would be the best place for me. She recognized my mental state was an emergency.” For two weeks, Zoey recalls her learning and astonishment at her life’s initial transformation that began to spring forth. “I never knew that there were other feelings aside from sadness and hate. The counselors opened my eyes to the positivity in life. I learned, most importantly, that my mental state was an illness - one that I had to take seriously and learn how to manage myself.” After the two week stay, Zoey was a candidate for CSB’s Adult Partial Hospitalization program. Between 9:30 a.m. and 2:30 p.m. each day, Zoey embarked on a mental health education period. She learned coping skills, participated in individual counseling, and attended group classes involving art, nutrition, exercise, and a job club. She was prescribed medication and psychiatric treatment, and learned about the Depression Bipolar Support Alliance, a support group that made a difference for her. Zoey shared a photo of a recent hike she enjoyed in the Great Falls area. “CSB staff were outstanding, they managed our groups with compassion and sensitivity, but with firmness and holding each of us accountable for creating goals and step-by-step plans. I met some supportive individuals who, like me, were just starting to get serious about recovery. I didn’t feel so alone anymore.” Zoey experienced a relapse after graduating from the eight-week program and returned to Crisis Care briefly. While there, Zoey was introduced to a CSB case manager who offered the support she needed. “We just clicked,” Zoey recalled. Over the next few months, Zoey’s strength and confidence began to surface and the counselor addressed the possibility of looking for work. Though she did not feel ready, Zoey knew it was the right thing to do and, logically, she wanted to support her child, so she agreed. Zoey was connected with CSB Supportive Employment services staff member Lauren Unger, CSAC, Employment Specialist. After the initial meeting, Zoey couldn’t have been more excited. Lauren Unger is a CSB Employment Specialist. She and her team provide multiple levels of support. These supports may include employment services but may also include a variety of other supportive services such as social skills training, health literacy and vocational trainings. “Lauren was confident when I wasn’t. She dusted me off and helped me with my resume, and was positive that a good position would come through for me. We met weekly; she gave me homework to apply for jobs in between, counseled me on interview questions to be prepared for, suggested how to approach people and how to follow up. She helped me climb higher than I ever dreamed I would, urging me to apply for jobs at prestigious companies and agencies. Best of all, Lauren was available. She followed up with me and held me accountable in a way I never experienced with others in my life, and, in the end, she was right about everything.” Zoey stresses that her journey is not over and she will continue to pay close attention to her mental and physical health for the rest of her life. “People typically do not understand that mental health is a thing, something that each one of us must take seriously. I wish I’d taken steps earlier to address it and I’m sad that I had to get so low before I finally acted,” she said. "I’m a middle-class girl with a diagnosis of bipolar II, chronic depression and anxiety. I was born with it and it was not my fault. I will always stay on top of this disease and through the tools I learned through CSB programs and support groups such as the National Alliance on Mental Illness-Northern Virginia (NAMI), I know that I can manage this. None of this has been easy, I did the work, nothing was handed to me. But because of people who cared and who believed in me such as Lauren and so many other CSB staff, I’m able to work in a career I love, fully enjoy my daughter, music, art, nature and taking walks with my dogs. I’m excited to see what the future brings." "I urge everyone to invest in the time to learn about mental health and not to wait to seek help if you, or your loved one’s need it.” Learn more about CSB emergency services, walk-in mental health assessments, or take a brief, online, confidential mental health screening to determine if you or someone you care about should connect with a professional. CSB Emergency Services at the Merrifield Center are available 24/7 at 703-573-5679.   *Zoey is a pseudonym; name is withheld to protect client confidentiality.  

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About the Health & Human Services System

This is agency is a part of the Fairfax County Health & Human Services System (HHS). The HHS System is a network of county agencies and community partners that support the well-being of all who live, work, and play in Fairfax County.